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Abstract

We report an ongoing measles outbreak in Italy, with over 4,400 cases reported in 20 Regions from January to August 2017. Median age was 27 years, 88% of the cases were unvaccinated. The highest incidence was in infants below one year of age and 7% of cases occurred among healthcare workers. Three deaths occurred and two cases of encephalitis were reported. Wide immunity gaps and nosocomial transmission are major challenges to measles elimination in Italy.

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/content/10.2807/1560-7917.ES.2017.22.37.30614
2017-09-14
2017-11-22
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2017.22.37.30614
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References

  1. World Health Organization Regional Office for Europe (WHO/Europe). Fifth Meeting of the European Regional Verification Commission for Measles and Rubella Elimination (RVC) 24-26 October 2016, Copenhagen, Denmark. Copenhagen: WHO/Europe; [Accessed 31 Aug 2017]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/330917/5th-RVC-meeting-report.pdf?ua=1
  2. European Commission. Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. Luxembourg: Publications Office of the European Union. L262 Sep 27, 2012. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=OJ%3AL%3A2012%3A262%3ATOC
  3. Italian Ministry of Health (MoH). Situazione epidemiologica del morbillo – Indicazioni operative per la gestione dell’epidemia in atto. [Circular N. 10740 of 4 April 2017. Recommendations for control of the ongoing measles outbreak]. Rome: MoH; [Accessed 31 Aug 2017]. Italian. Available from: http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=2017&codLeg=58889&parte=1%20&serie=null
  4. Italian Ministry of Health (MoH). Morbillo. Chiarimenti sulla somministrazione di immunoglobuline e sulla prima dose di MPR in particolari condizioni. [Circular N. 19361 of 23 June 2017. Measles: Clarifications regarding the administration of immunoglobulins and the first MMR dose in specific situations]. Rome: MoH; [Accessed 31 Aug 2017]. Italian. Available from: http://www.trovanorme.salute.gov.it/norme/renderNormsanPdf;jsessionid=-CkvBp-+DKv-MU+socO-zg__.sgc4-prd-sal?anno=2017&codLeg=59751&parte=1%20&serie=null
  5. Istituto Superiore di Sanità (ISS). EpiCentro portal. Morbillo in Italia: Bollettino settimanale. [Measles in Italy: weekly bulletin]. Rome: ISS; 5 Sep 2017. Italian. Available from: http://www.epicentro.iss.it/problemi/morbillo/Infografica2017.asp
  6. Italian Ministry of Health (MoH). Morbillo in Italia, bollettino settimanale. [Measles in Italy: weekly bulletin]. Rome: MoH; [Accessed 29 Aug 2017]. Italian. Available from: http://www.salute.gov.it/portale/news/p3_2_1_1_1.jsp?lingua=italiano&menu=notizie&p=dalministero&id=3057
  7. Centers for Disease Control and Prevention (CDC). Travelers’ Health. Measles in Italy. Atlanta: CDC; [Accessed 29 Aug 2017]. Available from: https://wwwnc.cdc.gov/travel/notices/watch/measles-italy
  8. Filia A, Bella A, Rota M, Tavilla A, Magurano F, Baggieri M, et al. Analysis of national measles surveillance data in Italy from October 2010 to December 2011 and priorities for reaching the 2015 measles elimination goal. Euro Surveill. 2013;18(20):20480. PMID: 23725868 
  9. Italian Ministry of Health. Vaccinazioni dell'età pediatrica e dell'adolescente - Coperture vaccinali [Childhood and adolescent vaccinations - Vaccine coverage.]. Rome: Ministry of Health. [Accessed 13 Sep 2017]. Italian. Available from: http://www.salute.gov.it/portale/documentazione/p6_2_8_3_1.jsp?id=20
  10. Veneto Region. Italy. ULSS20 Verona. Indagine sui determinanti del rifiuto dell’offerta vaccinale nella Regione Veneto. [Final report. Survey to identify determinants of vaccine refusal in the Veneto region, Italy]. Verona: Veneto Region Department of Health; [Accessed 13 September 2017]. Italian. Available from: https://prevenzione.ulss20.verona.it/docs/RicercheScelteVaccinali/Indagine-Determinanti-Scelta-Vaccinale-Report.pdf
  11. Italian Ministry of Health (MoH). Il Decreto vaccini è legge, tutte le novità. [The vaccination decree is now law, all the novelties introduced English]. Rome: MoH; [Accessed 29 Aug 2017]. Italian. Available from: http://www.salute.gov.it/portale/news/p3_2_1_1_1.jsp?lingua=italiano&menu=notizie&p=dalministero&id=3027
  12. European Centre for Disease Prevention and Control (ECDC). Epidemiological update: Measles - monitoring European outbreaks, 7 July 2017. Stockholm: ECDC; [Accessed 31 Aug 2017]. Available from: https://ecdc.europa.eu/en/news-events/epidemiological-update-measles-monitoring-european-outbreaks-7-july-2017
  13. European Centre for Disease Prevention and Control (ECDC). Ongoing outbreak of measles in Romania, risk of spread and epidemiological situation in EU/EEA countries– 3 March 2017. Stockholm: ECDC; 7 Mar 2017. Available from: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/27-02-2017-RRA-Measles-Romania%2C%20European%20Union%20countries.pdf
  14. Filia A, Bella A, Cadeddu G, Milia MR, Del Manso M, Rota MC, et al. Extensive Nosocomial Transmission of Measles Originating in Cruise Ship Passenger, Sardinia, Italy, 2014. Emerg Infect Dis. 2015;21(8):1444-6.  https://doi.org/10.3201/eid2108.141105  PMID: 26196266 
  15. Porretta A, Quattrone F, Aquino F, Pieve G, Bruni B, Gemignani G, et al. A nosocomial measles outbreak in Italy, February-April 2017. Euro Surveill. 2017;22(33):30597.  https://doi.org/10.2807/1560-7917.ES.2017.22.33.30597  PMID: 28840827 
  16. Amendola A, Bianchi S, Frati ER, Ciceri G, Faccini M, Senatore S, et al. Ongoing large measles outbreak with nosocomial transmission in Milan, northern Italy, March-August 2017. Euro Surveill. 2017;22(33):30596.  https://doi.org/10.2807/1560-7917.ES.2017.22.33.30596  PMID: 28840825 
  17. Grammens T, Schirvel C, Leenen S, Shodu N, Hutse V, Mendes da Costa E, et al. Ongoing measles outbreak in Wallonia, Belgium, December 2016 to March 2017: characteristics and challenges. Euro Surveill. 2017;22(17):30524.  https://doi.org/10.2807/1560-7917.ES.2017.22.17.30524  PMID: 28488998 
  18. Filia A, Amendola A, Faccini M, Del Manso M, Senatore S, Bianchi S, et al. Outbreak of a new measles B3 variant in the Roma/Sinti population with transmission in the nosocomial setting, Italy, November 2015 to April 2016. Euro Surveill. 2016;21(20):30235.  https://doi.org/10.2807/1560-7917.ES.2016.21.20.30235  PMID: 27240004 
  19. Kurchatova A, Krumova S, Vladimirova N, Nikolaeva-Glomb L, Stoyanova A, Kantardjiev T, et al. Preliminary findings indicate nosocomial transmission and Roma population as most affected group in ongoing measles B3 genotype outbreak in Bulgaria, March to August 2017. Euro Surveill. 2017;22(36):30611.  https://doi.org/10.2807/1560-7917.ES.2017.22.36.3061 
  20. Datta SS, O’Connor PM, Jankovic D, Muscat M, Ben Mamou MC, Singh S, et al. Progress and challenges in measles and rubella elimination in the WHO European Region. Vaccine. 2017;S0264-410X(17)30829-0.; Epub ahead of print.  https://doi.org/10.1016/j.vaccine.2017.06.042  PMID: 28651838 
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